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Organization

LISA ROBERTSON, LLC.

Active
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Organization

LISA ROBERTSON, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA MARIE PARKER MS, APRN (NURSE PRACTITIONER)
(803) 474-5140
Entity
Organization

Contact information

Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Mailing address
2038 HONORS CIR, GRANITEVILLE, SC 29829-4088
(803) 474-5140

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20218
SC

Other

Enumeration date
01/12/2018
Last updated
02/24/2026
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